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SOCIAL SUPPORT FOR THE HIV+ CLIENT:A COMPARISON OF THE EFFECTIVENESS OF TRADITIONAL VERSUS VOLUNTEER CASE MANAGEMENT INTERVENTION

Fisher, Mary Anne (2007) SOCIAL SUPPORT FOR THE HIV+ CLIENT:A COMPARISON OF THE EFFECTIVENESS OF TRADITIONAL VERSUS VOLUNTEER CASE MANAGEMENT INTERVENTION. Doctoral Dissertation, University of Pittsburgh. (Unpublished)

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Abstract

This longitudinal repeated measures study was designed to evaluate and compare the ffectiveness of volunteer support versus traditional case management for those with HIV in improving level of independent functioning. A non-random sample of one hundred and fifty-three clients (eighty-two in professional, seventy-one in the volunteer program) participated in the study. Evaluative tools utilized included a Checklist of Needs and Level of Independent Functioning Scale (LIF).It was predicted that volunteer case managers would be more effective than professionals in improving the independent functioning of clients with HIV and mental health/drug and alcohol problems. It was also predicted that volunteers would be more effective than professionals in assisting clients with obtaining a greater percentage of outside needs (needs provided by other agencies and defined as more critical in increasing independence).Multivariate analyses of data collected were used to test for relationships between two case management interventions (independent variables), time spent with clients (mediator) and two outcome (dependent) variables, level of independent functioning and percentage of outside needs met .Results supported the prediction that clients of volunteers improved their level of independent functioning and had more outside needs met than clients in the professional group.Path analyses revealed that increased time spent by volunteers (total time, number of contacts) partially mediated improvement in level of independent functioning. Face to face time, the most intense form of time, appeared to fully mediate the relationship between independent and dependent variables. However, the time variables did not mediate the relationship between type of intervention and outside needs met.Recommendations were made for agencies to consider utilizing volunteers in a professional capacity. Also, the evaluative tools developed for this study may be useful to demonstrate outcomes to support lobbying efforts for increased funding. Future research could focus on further refining the LIF scale.


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Details

Item Type: University of Pittsburgh ETD
Status: Unpublished
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Fisher, Mary Annemafcerra@aol.com
ETD Committee:
TitleMemberEmail AddressPitt UsernameORCID
Committee CoChairSales, Esthersales@pitt.eduSALES
Committee CoChairKoeske, Gary Fgkoeske@pitt.eduGKOESKE
Committee MemberFriedman, Markmarksf@stophiv.pitt.edu
Committee MemberCarr-Copeland, Valiresswvcc@pitt.eduSSWVCC
Date: 28 August 2007
Date Type: Completion
Defense Date: 17 July 2007
Approval Date: 28 August 2007
Submission Date: 27 August 2007
Access Restriction: No restriction; Release the ETD for access worldwide immediately.
Institution: University of Pittsburgh
Schools and Programs: School of Social Work > Social Work
Degree: PhD - Doctor of Philosophy
Thesis Type: Doctoral Dissertation
Refereed: Yes
Uncontrolled Keywords: AIDs; case management; HIV; peer support; volunteers
Other ID: http://etd.library.pitt.edu/ETD/available/etd-08272007-135808/, etd-08272007-135808
Date Deposited: 10 Nov 2011 20:01
Last Modified: 15 Nov 2016 13:49
URI: http://d-scholarship.pitt.edu/id/eprint/9272

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